Clinically Extremely Vulnerable (CEV) Community Grant 2022-23 - Expression of Interest Form

Progress

Page 1

Before you begin

Application Opening Date: Monday 31st January 2022

Application Closing Date: Midday Friday 18th February 2022

We will only accept one application per organisation. Forms submitted after the closing date will not be accepted.

View our privacy notice

NB: ONLY ORGANISATIONS BASED IN OR OPERATING IN LIVERPOOL ARE ELIGIBLE FOR THIS GRANT.

Applicant contact details
Organisation address
 

Use the Lookup Postcode button to find the address.

If you cannot find the address, please enter it manually

Declaration of interest

Provide details of any Liverpool City Council (LCC) employee or councillor who undertakes an official role or has a financial interest in your organisation.

Details of LCC employee or councillor

To add details of another employee or councillor, press 'Add'.

Add item

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About your project

Maximum 500 words

Maximum 500 words

Maximum 500 words

Maximum 500 words

Maximum 500 words

Page 3

Finance

Please provide a proposed budget for your project below and indicate the amount requested from the CEV Grant.

Proposed budget

To add another section of the budget, press 'Add'.

Must be a number (exclude currency symbols)

Add item

Do you have a bank account in the name of your organisation?

You must have a bank account in the name of your organisation in order to proceed with this application.

Are you or have you previously been in receipt of LCC Grant Funding, contract or service level agreement with LCC?

Provide details of grant or funding

To add another grant, press 'Add'.

Must be a number (exclude currency symbols)

Add item

Legal Status of your Organisation

If not applicable, please state N/A

If not applicable, please state N/A

Organisation legal status

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Policies
Please indicate which of the following policies and insurance you currently have in place. We do not require copies.

Select all that apply

Declaration
Confirmation

NB: You will receive an email with the data you have entered on this form when you submit your application. Please retain a copy for your records. Should your contact details or circumstances change please inform us by emailing Corporate.Grants@liverpool.gov.uk

Before you submit this form please review your answers below. If you need to change anything, use the 'previous' button on the bottom left to go back to a section. Then submit the form by selecting the 'Submit button' at the bottom of this page